BWC's pharmacy benefits program covers outpatient medications prescribed to treat conditions related to an injured worker's state-fund, black lung and Marine Industrial Fund claim. Under BWC's program, pharmacists can submit most drug bills directly to BWC at the point of service through BWC's pharmacy benefit manager (PBM) vendor, Change Healthcare.

As soon as an injury occurs, even before BWC assigns a claim number, the pharmacist can submit a bill using the first fill instructions in the link below. Pharmacies submit bills for prescriptions electronically to the PBM. The PBM has access to BWC claim information and approves or denies bills accordingly. The PBM issues payment for prescriptions directly to pharmacy providers and injured workers.

However, this program does not apply to self-insured claims. If you have questions related to a self-insured claim, please contact the employer, or call 1-800-644-6292 for assistance.